What is the MOST COMMON cause of vaginal bleeding immediately after birth?

Correct Answer: A

Rationale: The correct answer is A: Uterine atony. After birth, the uterus may not contract properly, leading to excessive bleeding known as postpartum hemorrhage. Uterine atony is the most common cause, as the uterus fails to remain contracted after delivery. This results in inadequate compression of blood vessels, leading to bleeding. Genital lacerations can cause bleeding but are less common than uterine atony. Abnormal clotting mechanisms and endometritis are less likely causes of immediate postpartum bleeding compared to uterine atony.

Correct Answer: A

Rationale: The correct answer is A: Drying the baby thoroughly immediately after birth. This is the first step for thermal protection as it helps prevent heat loss and hypothermia in the newborn. By drying the baby immediately after birth, any amniotic fluid on the skin is removed, allowing the baby's body temperature to stabilize. Covering the baby with a clean, dry cloth after drying would be the next step to maintain warmth. Choices B, C, and D are incorrect because they do not address the crucial initial step of drying the baby immediately after birth to prevent hypothermia.

Correct Answer: B

Rationale: The correct answer is B because conducting a community assessment involves utilizing multiple strategies to gather comprehensive data. This includes using library databases for literature reviews (A), surveys/questionnaires to collect community input (C), and examining government documents for existing data (D). By combining these methods, a more thorough and accurate assessment can be achieved. Option B acknowledges the importance of employing a variety of strategies to ensure a well-rounded approach to data collection. Options A, C, and D are individually valid methods but do not encompass the full range of strategies necessary for a comprehensive community assessment.

Correct Answer: A

Rationale: The correct answer is A because it accurately describes the process of how a bill becomes a federal law. Initially, a bill is sent to the appropriate committee where it is discussed, researched, and expert testimonies are heard. This step allows for thorough examination and evaluation of the bill's content and implications. This committee review is essential in shaping the bill before it moves to the full legislative body for further debate and voting. Choices B, C, and D are incorrect: B: The bill is not first reviewed by the President in the legislative process. The President's involvement typically occurs at a later stage, after the bill has been passed by both houses of the legislature. C: Complete consensus in both houses of the legislature is not required for a bill to become a law. It needs a majority vote in each house. D: The President has the power to veto a bill, regardless of the level of support it receives in the Senate. The veto can be overridden by a two-thirds majority vote in

Correct Answer: D

Rationale: The correct answer is D because fee-for-service care typically involves fees that vary and are not uniform across states due to minimal regulation. This variability allows providers to set their own prices based on factors such as demand, competition, and cost of services. This system promotes flexibility but can lead to inconsistencies and higher costs. A is incorrect because fee-for-service care is not typically based on the patient's ability to pay or capped. B is incorrect because fees are not necessarily reflective of the fair market value and can be influenced by other factors. C is incorrect because fee schedules are not the primary factor enabling hospitals and clinics to function properly in a fee-for-service system.

Correct Answer: C

Rationale: The correct answer is C because in motivational interviewing, it is crucial to establish a non-judgmental, empathetic, and supportive environment. By asking open-ended questions and actively listening, the RN can understand the student's perspective, build rapport, and help the student explore ambivalence about their behavior. This approach aligns with the spirit of motivational interviewing, which aims to evoke the student's intrinsic motivation for change. Choice A is incorrect because focusing on academic performance may not be the student's priority at the moment. Choice B is incorrect as providing information on harmful impacts may trigger resistance or defensiveness in the student. Choice D is incorrect as starting with a survey may feel impersonal and does not prioritize building a therapeutic alliance.

Correct Answer: D

Rationale: The correct answer is D because self-awareness and humility are crucial competencies for a public health nurse working with diverse populations. By acknowledging imperfections openly and listening to patient feedback, the nurse demonstrates an understanding of their own limitations and a willingness to learn and improve. This approach fosters trust and communication with clients, leading to better outcomes. A is incorrect because it focuses on the nurse's confidence rather than self-awareness and humility. B is incorrect as it highlights a judgmental attitude towards expectant moms instead of promoting understanding and support. C is incorrect as it emphasizes correcting behavior rather than listening and understanding the individual's needs.

Correct Answer: A

Rationale: The correct answer is A: Engaging community members. In community health programs, involving community members fosters ownership, trust, and sustainability. It promotes active participation, cultural relevance, and tailored interventions. Sufficient funding (B) is important but not a guarantee of success without community engagement. Effective leadership (C) is crucial, but without community involvement, the program may lack grassroots support. Lowering health care expenses (D) is a potential outcome, not a primary component of success.

Correct Answer: D

Rationale: Step 1: Yerba Buena is a traditional medicinal herb commonly used in the Philippines to relieve muscle and joint pains. Step 2: Yerba Buena is easily accessible and can be grown in home gardens, making it a non-costly alternative. Step 3: Unlike the muscle pain-relieving drug advertised by Manny Pacquiao, Yerba Buena is a natural remedy with minimal side effects. Step 4: Sambong, Lagundi, and Akapulko are also traditional herbs, but they are more commonly used for other health conditions, not specifically for muscle and joint pains. Summary: Yerba Buena is the correct choice as it is a readily available and cost-effective alternative for muscle and joint pain relief, while the other choices are not as suitable for this specific purpose.